Comparative estimation of laser coagulation efficiency in macular and microphotocoagulation of high density in diabetic maculopathy treatment

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Abstract

Subthreshold microphotocoagulation leads to the development of barely visible or invisible retinal burns. It has also been shown to be effective in macular edema treatment without any side effects that are inherent to the ETDRS method (atrophy of retinal pigment epithelium and choroid and decreased retinal sensitivity). Microphotocoagulation efficacy may be increased by high-density laser applications; however, publications drawing attention to this matter are rare in modern literature.

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About the authors

Tat’yana V Kotsur

Eye Microsurgery named after academician S.N. Fyodorov, St Petersburg Branch

Author for correspondence.
Email: tatiana781@yandex.ru

MD, PhD, ophthalmologist. Laser microsurgery and fluorescent angiography department

Russian Federation

Aleksandr S Izmaylov

Eye Microsurgery named after academician S.N. Fyodorov, St Petersburg Branch

Email: 061@mail.ru

doctor of medical science, MD of highest qualification, head of laser surgery department

Russian Federation

References

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  2. Roider J. Laser treatment of retinal diseases by subthreshould laser effects. Semin Ophthalmology. 1999;14:19-26. doi: 10.3109/08820539909056059.
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  4. Lavinsky D, et al. Randomized clinical trial evaluating mETDRS versus normal or high-density micropulse photocoagulation for Diabetic Macular Edema. Invest Ophthalmol Vis Sci. 2011;52(7):4314-4323. doi: 10.1167/iovs.10-6828.
  5. Lovestam-Adrian M. Photocoagulation of diabetic macular oedema-complications and visual outcome / M. Lovestam-Adrian, E. Agardh. Acta Ophthalmol Scand. 2000;78(6):667-671. doi: 10.1034/j.1600-0420.2000.078006667.x.
  6. Roider J, Michaud NA, Flotte TJ, et al. Response of the retinal pigment epithelium to selective photocoagulation. Arch Ophthalmol. 1992;110(12):1786-1792. doi: 10.1001/archopht. 1992.01080240126045.
  7. Schatz H. Progressive enlargement of laser scars following grid laser photocoagulation for diffuse diabetic macular edema / H. Schatz, D. Madeira, H.R. McDonald, et al. Arch Ophthalmol.1991;109(11): 1549-1551. doi: 10.1001/archopht.1991.01080110085041.

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Copyright (c) 2016 Kotsur T.V., Izmaylov A.S.

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